Pandora Report 3.15.15

For those of us at Mason, Spring Break is nearing its end. For the rest of us, however, it’s business as usual. This week we’ve got stories about engineering nuclear worries in South Africa, the eradication of guinea worm, the lasting health impacts of Ebola, and other stories you may have missed.

Have a great week, enjoy the longer daylight hours, and we’ll see you back here next weekend!

U.S. Unease about Nuclear-Weapons Fuel Takes Aim at a South African Vault

Located in a former silver vault at a nuclear research center near Pretoria, South Africa, is enough nuclear weapons explosive to fuel half a dozen bombs. Roughly 485 pounds of highly enriched uranium exist as remnants of the apartheid regime’s nuclear weapons program. U.S. officials worry that not only does this stockpile give South Africa the theoretical ability to regain its status as a nuclear-weapons state, but the stockpile’s vulnerability makes it a target for terrorist thieves. This isn’t a far-fetched concept, because in November 2007 two teams of raiders breached the fences at the nuclear center, entered the site, and broke into the central alarm station. Obama has urged President Jacob Zuma to transform the nuclear explosives into benign reactor fuel—with U.S. assistance—to no avail.

The Washington Post—“‘The bottom line is that South Africa has a crime problem,” [arms control expert Jon] Wolfsthal said. “They have a facility that is holding onto material that they don’t need and a political chip on their shoulder about giving up that material. That has rightly concerned the United States, which is trying to get rid of any cache of HEU [highly enriched uranium] that is still out there.’”

Tug of War: On the Verge of the Greatest Public Health Triumph of the 21st Century

As people work around the world to eradicate Polio, another public health enemy is about to be eliminated first—guinea worm. This parasite, found in rivers and streams, enters the body in larval form through contaminated drinking water. The larvae mature inside the body and move towards the skin’s surface in the form of a burning blister. When the infected human puts water on the blister, the worm bursts out into water, continuing the source infection cycle. However, the number of cases of guinea worm is way down—from 3.5 million cases in 1986 to 126 cases in 2014—thanks to a simple nylon filter attached to a drinking straw. The weave on the nylon is tight enough to filter out the larvae from drinking water.

Slate—“Vanquishing guinea worm would be arguably the first great public health triumph of the 21st century. It would also give new life to the human disease eradication movement, which suffered through 35 mostly frustrating years following the conquest of smallpox in 1980. The victory would prove to governments and private foundations that we can still accomplish eradication.”

Ebola Could Cause Thousands More Deaths—By Ushering in Measles

As Liberia removed their Ebola crematorium—with the declaration that the outbreak is contained—new cases of the disease are still popping up in Sierra Leone and Guinea and have resulted in nearly a dozen American volunteers returning to U.S. facilities for treatment.  And this week, in Science, researchers from NIH and four universities have warned that Ebola’s interruption in other health services—like immunization campaigns—could result in epidemics of preventable diseases with larger fatality numbers than Ebola. Specifically, they warn that up to 100,000 cases of measles could result in 16,000 additional deaths.

Wired—“Measles is already present in West Africa, so the team is not arguing that Ebola will revive an eradicated disease — although, poignantly, hard work in the three countries had recently forced measles incidence way down. “Between 1994 and 2003, the countries reported — and this is just how many they reported, not necessarily how many occurred — about 100,000 cases of measles,” Lessler said. “Whereas in the last decade, they’ve only reported 7,000. So they’ve done an excellent job of controlling the virus compared to the previous (decade).’”

Stories You May Have Missed

 

Image Credit: FEMA

CIA Purchase of Iraqi CW: Background and Context

By Greg Mercer

Recently, a CIA program to buy and destroy chemical weapons in Iraq has come to light.   The New York Times reports that from 2005 to 2006, Operation Avarice saw the purchase and destruction of 400 chemical weapon rockets originally developed by the Hussein regime in the 1980s.  Reports vary on the contents of the rockets, which may have contained either degraded chemical components or still-active sarin.  The Times article states that, in cooperation with the Army 203rd Military Intelligence Battalion, the CIA station in Baghdad made the purchase from a single Iraqi seller and destroyed the weapons.

These events notably fall outside of the findings of the Iraq Survey Group (ISG), the 2003 Department of Defense-led fact finding mission.  The ISG released a final report in 2004 detailing Iraqi WMD-related activities from 1991 to 2003. However, ongoing conflict in Iraq has led to further encounters with remnants of Hussein’s WMD programs.

An October 2014 article detailed claims made by veterans that military personnel had been exposed to sulfur mustard during the destruction of seized Iraqi chemical weapons near Taji.  The Times’ CJ Chivers places the number of service members exposed to chemical weapons at no fewer than 17, and asserts that they received inadequate healthcare.  His investigation led to the Pentagon acknowledging that hundreds of service members had been exposed to chemical weapons and had received insufficient treatment.

A May 2004 Fox News article reported that a 155mm artillery shell used as part of a roadside bomb in Iraq was found to have contained sarin, and two service members were treated for mild symptoms of exposure.  While the shell contained three liters of sarin, it was a binary system, where separate chemical compounds are mixed to form the weapon agent.  Due to its use as an improvised explosive and failure to combine, the agent was not potent enough to be lethal.  The article notes that a different shell containing mustard gas was found in a similar setup.  However, this shell also did not detonate, and the chemical agent was found by the ISG to be inactive due to improper storage.

In July 2004 the Washington Post reported that warheads found in Iraq by Polish forces, originally believed to be chemical weapons dating back to the Iran-Iraq war (which saw the use of chemical weapons by both sides), did not, in fact, contain chemical agents.  The warheads were reportedly purchased, not confiscated, rockets, though this point was disputed by an unnamed senior intelligence official, who said that the U.S. had been told that the rockets were found alongside other conventional weapons.  Chemical weapons or not, the episode demonstrates the severity with which international forces in Iraq treated claims of insurgents and terrorists possessing or seeking unsecured Hussein-era weapons.

It’s important to note that these brushes with chemical weapons involved agents dating to before 1991.

Chemical weapons were not the only illicit goods seized in Iraq.  In 2005, the Associated Press reported that 550 metric tons of yellowcake uranium had been sold to Canadian uranium producer Cameco Corp. for use as nuclear fuel.  The U.S. conducted a top-secret airlift operation of 37 flights to move the uranium from Baghdad to Montreal.  The uranium was a remnant of Hussein’s nascent nuclear weapons program.  Yellowcake uranium is an intermediate product of uranium processing, not weapons-grade material.  It can either be smelted into fuel rods for use in nuclear reactors for power production, or enriched into U-235 via gas centrifuge.  Low-enriched uranium (up to 20% U-235) is also used in nuclear reactors, but highly-enriched uranium (90%) is used in nuclear weapons.

 

Image Credit: The New York Times

Pandora Report 3.1.15

My apologies for no update last week, I had to make an unexpected, emergency, work-related trip to Dulles Airport, my old stomping grounds. But everything is under control and we’re back at it, covering stories from the past two weeks. Fittingly, we start off with airport screening, and also cover the Black Death, chemical weapons in Libya, Ebola, and other stories you may have missed.

Have a great week and stay safe in the weather out there!

Airport Screening for Viruses Misses Half of Infected Travelers

A team led by UCLA researchers has found that airport screening—for viruses like H1N1 and Ebola—misses at least half of infected travelers. The team found that no more than 25% of passengers answered honestly about their exposure to influenza in 2009 and that some may have been able to hide symptoms by taking over-the-counter drugs like acetaminophen. Timing of the screening may impact detection ability, too.

Science 2.0—“‘We found that for diseases with a long incubation period, such as Marburg and Ebola, taking passenger’s temperature to test for fever is particularly ineffective at the start of the epidemic but does pick up more cases as the epidemic stabilizes,” said Katelyn Gostic, a lead author of the study and a UCLA doctoral student in the laboratory of Professor James Lloyd-Smith. “With diseases such as swine flu, which take a shorter time to incubate, fever screening is the most effective method throughout an epidemic.’”

Plague Pandemic May Have Been Driven by Climate, Not Rats

Rats may have been incorrectly receiving centuries of blame for European plague, or Black Death. According to Nils Stenseth, of the University of Oslo, the introduction, and re-introduction, of the disease to Europe may have been caused by Asian climate events. Additionally, black rats where rare in Northern Europe, so the likely rodent culprit may have actually been gerbils. Moreover, the plague is not naturally found in Europe, but it is endemic in Asia in the rodents that live there. However, when the climate becomes warmer and wetter, rodent numbers drop and the fleas seek out alternative hosts, like domestic animals and humans.

Smithsonian—“The scientists will need more data to prove that Asian climate was responsible for all the reintroductions of plague to Europe. For instance, analysis of plague DNA from European victims who died at different time periods could strengthen the link between climate and outbreaks. “If our theory of climate-driven successive reintroductions is correct, we would expect to find great genetic bacterial variation between plague victims across time,” Stenseth explains. If the bacteria had instead come from a single introduction, there would be less genetic variation in the pathogen’s DNA, even when taken from victims from different times and locations.”

ISIS Chemical Weapons Libya: Military Warns Islamic State Might Have Mustard Gas, Sarin

Islamic State fighters in Libya have allegedly seized large amounts of chemical weapons including mustard gas and Sarin that reportedly belonged to the regime of Moammar Gadhafi. Last year, though, Libyan officials said they destroyed the last known stockpile from Gadhafi’s regime.

International Business Times—“The weapons are likely 10 years old and in a degraded state, but remain dangerous, former British Army officer Hamish de Bretton-Gordon told The Daily Mail Sunday. “While we don’t know how much IS has acquired, and though the Libyan Sarin dates back to the Gadhafi era, it would still have a toxicity and pose a danger,” he said. “Libya is virtually Europe and so the fear factor from a European perspective is huge. I should think the security forces will be watching this situation very closely.’”

This Week in Ebola

It’s been awhile since an Ebola update, but there was some good news worthy of coverage as schools re-opened in Liberia on February 16, as a sign that life is starting to return to normal. Countries are still keeping an eye out for the virus, including, inexplicably, North Korea, who has banned foreign runners from their April marathon (yes, that is actually a thing!) A piece appeared in the Journal of the American Society of Microbiology that indicated it is “very likely that at least some degree of Ebola virus transmission currently occurs via infectious aerosols generated from the gastrointestinal tract, the respiratory tract, or medical procedures.” However, there is some good news including a new product, similar to hand sanitizer, that can kill bacteria and viruses within 15 second of application and can work for up to six hours and a rapid diagnostic test for both Ebola and Dengue. Lastly, it wouldn’t be an Ebola update without a questionable article—this one is about a Baltimore wedding gown designer who went to New York Fashion with an Ebola suit. Sigh.

Stories You May Have Missed

 

Image Credit: Micah Sittig

Pandora Report 2.7.15

Whatta week, right?! Let’s jump right in to the stories. We’ve got the Subway, flu forecasting, American chemical weapons, and stories you may have missed.

Have a great weekend and a safe and healthy week!

A Close Look at the Germs Crawling Around the Subway

Every single day I ride the metro to work, and every single day, the first thing I do when I get to the office is wash my hands. And, really, that’s what everyone should be doing. A research team from the Weill Cornell Medical College spent the summer of 2013 swabbing turnstiles, subway poles, kiosks, benches, and other “human penetrated surfaces” in all 466 NYC subway stations.

Gothamist—“And they found quite a few signs of life—15,152 types of DNA, in fact—nearly half of which they identified as bacteria. Shocking!

[They] did manage to find some scary stuff, with E. coli, Staphylococcus aureus (skin infections, respiratory disease and food poisoning), Bacillus anthracis (anthrax), and even Yersinia pestis, which is associated with the bubonic plague, popping up in some swabs. Nearly all the stations harbored an antibiotic resistant bacteria called Stenotrophomonas maltophilia, one that often causes respiratory infections in hospitals.”

Forecasts May Soon Predict Flu Patterns

What if we could predict the flu like we predict the weather? That is what teams of researchers are looking at; devising and testing methods to predict the start, peak, and end of flu season. How will they do this? By combining data from the present with knowledge of past patterns to project what might happen in the future.

The Boston Globe—“If the CDC had a flu-season preview in hand, the agency could better time messages on use of vaccines and flu-fighting drugs.

Hospitals could plan staffing for patient surges or make sure key personnel are not on vacation when it appears the epidemic will probably peak. Parents could even take flu forecasts into account in scheduling birthday parties and play dates.”

U.S. to Destroy Largest Remaining Chemical Weapons Cache

Syria isn’t the only country working on destruction of its chemical weapons cache. The Pueblo Chemical Depot, in Southern Colorado, will begin neutralization of 2,600 tons of aging mustard agent in March. This action moves towards American compliance with a 1997 treaty that banned all chemical weapons.

USA Today—“‘The start of Pueblo is an enormous step forward to a world free of chemical weapons,” said Paul Walker, who has tracked chemical warfare for more than 20 years, first as a U.S. House of Representatives staffer and currently with Green Cross International, which advocates on issues of security, poverty and the environment.”

Stories You May Have Missed

 

Image Credit: Wikimedia Commons

Pandora Report 2.1.15

No themed coverage this week, sadly. However, we’ve got stories covering the Federal fight against antibiotic resistance, ISIS airstrikes, and super mosquitoes in Florida. All this in addition to stories you may have missed.

Have a fun Super Bowl Sunday (go team!) and a safe and healthy week!

Obama Asking Congress to Nearly Double Funding to Fight Antibiotic Resistance to $1.2 Billion

One of The White House’s goals for 2015 was to combat growing antibiotic resistance through research into new antibiotics and efforts to prevent the over prescription of these vital drugs. President Obama is requesting that Congress add additional funding to this fight, bringing the total to $1.2 billion. The funding will be a start, but there are many other things that can happen in order to fight this extremely important problem.

U.S. News & World Report—“The Centers for Disease Control and Prevention says more than 23,000 Americans die every year from infections that can withstand some of the best antibiotics. The World Health Organization said last year that bacteria resistant to antibiotics have spread to every part of the world and might lead to a future where minor infections could kill.”

Air Strike Kills IS ‘Chemical Weapons Expert’

News came Saturday morning that U.S. airstrikes in Iraq last week killed a mid-level Islamic State militant who specialized in chemical weapons. Killed on January 24, Abu Malik had worked at Saddam Hussein’s Muthana chemical weapons production facility before joining Al-Qaeda in Iraq in 2005.

Radio Free Europe/Radio Liberty—“Officials say his death could “temporarily degrade” the group’s ability to produce and use chemical weapons. Coalition air strikes have pounded the Mosul area over the past week [and] The U.S.-led coalition has carried out more than 2,000 air raids against IS militants in Syria and Iraq since August 8.”

Millions of Genetically Modified Mosquitoes Could Fight Disease in Florida

On January 11, we had a small note about the possibility of genetically modified mosquitos controlling diseases like chikungunya and dengue, but this week coverage on this issue absolutely exploded! British biotech firm Oxitec plans to release millions of genetically modified mosquitos in Florida to control the existing population and help control the spread of these diseases. The A. Aegypti species of mosquito is extremely prevalent in Florida and recently has become resistant to most chemical pesticides. Residents, of course, are up in arms over the potential release of this “mutant mosquito”.

The Weather Channel—“Technology similar to this is already in use in Florida and other states, Entomology Today points out. Sterile Insect Technique (SIT) employs a similar technique, sterilizing insects so that when they mate, no offspring are produced. “Florida spends roughly $6 million a year using SIT to prevent Mediterranean fruit fly infestations, while California spends about $17 million a year,” Entomology Today wrote.”

Stories You May Have Missed

Image Credit: Wikimedia Commons

Pandora Report 1.18.15

For those who’ve been reading for awhile, you’ve probably surmised that one of my personal health interests is seasonal and pandemic flu. There were plenty of stories about that this week, so that’s what we’ll focus on. We’ll also look at Ebola and other stories you may have missed. My apologies for posting delays this week, I’m dealing with some rotator cuff and carpal tunnel issues in my right arm, and let me tell you, it is HARD to type with your dominant arm in a sling!

Enjoy your holiday Monday (if you have one) and have a safe and healthy week!

Texas Health Experts Say Universal Flu Vaccine Could be a Reality

The CDC has said that this year’s seasonal flu vaccine was only 23% effective due to unanticipated antigenic drift—meaning the predicted strains in the vaccine didn’t match the dominant strains of the virus that are currently circulating. In order to combat this in the future, scientists at Mount Sinai health system in New York are in the process of testing a universal flu vaccine which will go into clinical trials this year.

KLTV.com—“‘There is work going on to see if, perhaps a different kind of vaccine could be developed maybe against a different part of the flu virus, one that is not so subject to this antigenic drift or to change as readily from one year to the next,” [Dr. Levin of UT Health Northeast] says.”

Scientists Find Brain Protein Aids Influenza Recovery

Scientists at Washington State University in Spokane have found a brain protein that boosts the healing power of sleep and speeds recovery from the flu in mice. Professor James M. Kruger said this discovery could lead to alternative treatments for flu and other infectious diseases by stimulating production of the brain protein called AcPb. This discovery comes at a time where avian influenza is prevalent in Taiwan, Japan, Nigeria, China, Egypt, Canada, the U.S. and Mexico.

Washington State University—“Krueger showed this recovery involves AcPb and an immune system signaling chemical called interleukin-1. AcPb links up with interleukin-1 to help regulate sleep in healthy animals. It also prompts infected animals to spend more time sleeping during an illness.

In the study, mice who lacked the gene for AcPb slept less after being infected with influenza virus. They also became chilled, grew sluggish, lost their normal circadian rhythms and ultimately died in higher numbers than the mice who slept longer.”

This Week in Ebola

As GMU students return to classes, so do students in Ebola affected Guinea. Schools in Guinea will re-open Monday, and schools in Liberia are set to re-open “next month.” No date has been set for schools in Sierra Leone. Despite this, the President of Sierra Leone has declared that there will be zero new confirmed Ebola cases by the end of March the country will be Ebola-free, by WHO standards, by May. These announcements come at a time when Dr. Thomas Frieden, Director of the CDC, has said he was “very confident we can get to zero cases in this epidemic if we continue the way we’re going and nothing unexpected happens” and the outbreak appears to be slowing down. Last week brought record low numbers—for Guinea, the lowest total since mid-August; for Liberia, the lowest total since the first week of June; for Sierra Leone the second week of declines and the lowest level since the end of August. However, there are still “at least 50 micro-outbreaks” underway throughout West Africa.

Pauline Cafferkey, the Scottish nurse infected with Ebola, is “showing signs of improvement” and an American soldier who was found dead in Texas after his deployment in West Africa reportedly showed no signs of Ebola leaving officials to remark that there was “no evidence of a public health threat.”

A seemingly large amount of good news this week left space for new ruminations on Ebola and outbreaks in general. Wired  had an interesting piece on Nanobiophysics and how it could stop future global pandemics while The Chicago Tribune looked at bats and their likely role in Ebola outbreaks and CNBC looked at the price of protection from global pandemics—would you believe $343.7 billion?

Stories You May Have Missed

 

Image Credit: NBC News

Pandora Report 1.11.15

Dirt is all around, I mean, truly, all around. We wash it off our produce, get it smashed into the soles of our shoes, and vacuum it out of our homes. But is dirt really that bad? The stories this week look at dirt as a source of antibiotics and a disposal method for chemical weapons. We also look at Ebola and other stories you may have missed.

Have a fabulous week!

DARPA Wants to Turn Chemical Weapons Into Dirt

DARPA has a new idea for eliminating chemical weapons—breaking them into safe compounds like oxides and earth metal salts, in other words, soil. Considering the drawbacks for current disposal methods, the agency’s Agnostic Compact Demilitarization of Chemical Weapons program has put out a call for proposals for a weapons-to-dirt plan.

Popular Mechanics—“The defense research agency is looking for a transportable system that can fit in a 40-foot-long shipping container and process at least 55 gallons of chemical weapons and precursor material every hour for a 48-hour period. Processing will be conducted near the chemical weapons storage site, use local materials (such as dirt of plant matter), and produce no hazardous waste.”

New Class of Antibiotic Found in Dirt Could Prove Resistant to Resistance

A study published this week in Nature looks at a new antibiotic, called Teixobactin, which could keep working for “longer than any other” before bacteria could develop resistance. It is still at least four years away from availability and can only treat gram-positive bacteria like staph, strep, and TB. And where was this new antimicrobial found? Dirt from a grassy field in Maine.

The Washington Post—“Most microbiologists only ever work with around 1 percent of microbes—the ones that will grow politely in the lab. But the rest refuse to grow on traditional growth media, like petri dishes. But there are potential antibiotics all over the world being created by plants, fungi, and microorganisms. Lewis and his colleagues sandwiched soil between two semi-permeable membranes, effectively tricking soil microbes into growing in a “natural” environment that was actually a lab culture.

Among the 10,000 organisms and 25 antibiotics they grew in this new type of culturing method is Teixobactin. It successfully obliterated MRSA and drug-resistant TB in cell cultures and in mice, and did so without any signs that the bacteria might become resistant to it.”

This Week in Ebola

Ebola has reached beyond health. Since the outbreak began, in Sierra Leone a combination of curfew, a ban on public gatherings, plummeting GDP, and inflation have fueled economic freefall. And remember when Texas nurse Amber Joy Vinson got on a plane to Ohio to shop for bridesmaid gowns for her own wedding? Well the store, announced it will be going out of business due to flagging sales and stigma of being the “Ebola” bridal store.  The pharmaceutical industry is chugging along in creation of and testing of possible vaccines for the Ebola virus; all of this comes at a time where the number of deaths is over 8,200 and the number of cases stands at over 20,000. The Economist has an amazing series of charts, maps, and graphs that look at the scope of the outbreak.

Meanwhile, the British nurse diagnosed with Ebola is in critical, but stable, condition, and an American health care worker was transported to the Nebraska Medical Center’s specialized biocontainment unit for observation. Travelers from Mali will no longer face enhanced screening when they arrive in the U.S., as the last case in Mali was December 5 and there are no active cases in the country.

Lastly, there were two interesting first-person stories from those who have returned from West Africa. First, an NPR correspondent in Washington DC writes about the terrifying moment when he woke up with a fever within 21 days of his return from Liberia. Then, an Australian MSF nurse wrote about the “sheer brutality” of the Ebola virus he experienced while in Liberia.

Stories You May Have Missed

 

Image Credit: United Nations University

Pandora Report 1.4.15

Happy 2015! I hope all of you enjoyed a safe, happy, and healthy holiday season. As we get back into things, this week we will look at Seasonal Flu, 1980s Chemical Weapons, and, of course, Ebola. Please also enjoy a wrap up of other stories from the last two weeks in the Stories You May Have Missed section.

Have a fabulous week!

This Season’s Flu Activity Has Reached the Epidemic Threshold, the CDC Says

On the heels of the announcement that this year’s flu vaccine is not as effective as hoped, the Centers for Disease Control and Prevention has announced that they are seeing elevated activity in all their influenza surveillance systems and that this year’s seasonal flu has reached epidemic levels. The Virginia Department of Health has called the flu “widespread” in our state. The CDC urges it is still too early to determine if this season will be worse than others but preliminary data seems to reflect that it may be.

The Washington Post—“The influenza season reaches an epidemic level when the proportion of deaths attributed to pneumonia and influenza reaches a certain threshold: 6.8 percent. According to the CDC’s latest available information on the flu season, the percentage is currently at the threshold.”

Secret Papers: UK Studied Chemical Weapons Buildup in the 1980s

Newly released, formerly secret, documents show that in the early 1980s former Prime Minister Margaret Thatcher’s government considered rebuilding Britain’s chemical weapons arsenal in the face of a perceived looming threat of the Soviet Union. Thatcher’s defense chiefs were worried that the country would have only nuclear weapons in order to respond to a possible Soviet chemical attack.

ABC News—“In the papers, Thatcher states that it might be considered “negligent” of the government not to develop a credible response to a Soviet chemical attack short of using nuclear weaponry. She also suggests urging the Americans to modernize their chemical arsenal.

The lack of a chemical capacity was called a “major gap” in NATO’s military capacity by Defense Secretary Michael Heseltine in a secret 1984 document. He said the threat of a nuclear response lacked credibility.”

This Week in Ebola

While we were celebrating and enjoying the holidays, Ebola, of course, didn’t take a break. In the spirit of the season the UK’s Queen praised the selflessness of those fighting the ongoing epidemic in West Africa. And while Christmas gatherings were cancelled in Sierra Leone and Guinea, those in Liberia made sure their Christmas spirit was on full display. As 2014 came to an end, there were many looks back at the year in Ebola and the possible source of the start of the outbreak. The first case of Ebola was diagnosed in Britain by a nurse who contracted the disease in West Africa and there were reports of a possible lab error exposure to the virus at the CDC.

There are some reasons for optimism as 2015 begins, including survival rates increasing for cases in Sierra Leone and promising news on the vaccine front. Vaccines tested in Uganda against Ebola and the related filovirus Marburg have proven to be safe and effective in generating an immune response to the deadly viruses  and the U.S. Department of Health and Human Services has awarded contracts worth $43 million to develop two possible Ebola vaccines more quickly. According to the UN’s Anthony Banbury, 2015 should see the number of Ebola cases brought to zero by the end of the year and Al Jazeera America argues that this year should be focused on immunization and investment in West African health systems.

The last two Ebola updates are entirely unrelated and include the unverified possibility that ISIS militants have contracted Ebola and interesting coverage by NPR of how Ebola has affected love and sex.

Stories You May Have Missed

 

Image Credit: The Washington Post

Pandora Report 12.7.14

I hope all of you had a wonderful Thanksgiving! There were a lot of stories to consider for this extra long (extra late) week in review. We cover the AIDS pandemic, Avian Influenza, Polio in Pakistan, and, of course, Ebola. For those of you in school, I hope your papers and exams aren’t too overwhelming! For everyone else, have a wonderful week, hopefully paper and exam-free week!

AIDS Campaigners Say Pandemic Has Finally Reached Tipping Point

A report released by the ONE campaign to mark World AIDS Day on December 1 said that “the world has finally reached “the beginning of the end” of the AIDS pandemic that has infected and killed millions in the past 30 years.” What is the tipping point? The number of newly infected HIV patients is lower than the number of HIV positive patients who have access to retroviral medications that keep AIDS at bay. However, this doesn’t mean the fight is over.

Reuters—“‘We’ve passed the tipping point in the AIDS fight at the global level, but not all countries are there yet, and the gains made can easily stall or unravel,” said Erin Hohlfelder, ONE’s director of global health policy.”

FAO, OIE Warn of Avian Influenza’s Rapid Spread

The Food and Agriculture Organization of the United Nations and the World Organization for Animal Health have warned that the new avian flu strain detected in Europe is similar to those found in Asia and pose a significant threat to the poultry sector. Evidence of H5N8 has been found in Germany, the Netherlands, and the United Kingdom, as well as China, Japan, and South Korea. So far, it doesn’t appear this strain is infecting people, however, this week there were reported human cases and deaths from H5N1.

The Poultry Site—“The new virus strain provides a stark reminder to the world that avian influenza viruses continue to evolve and emerge with potential threats to public health, food security and nutrition, to the livelihoods of vulnerable poultry farmers, as well as to trade and national economies. Therefore extreme vigilance is strongly recommended while progressive control efforts must be sustained and financed.”

Pakistan Polio Outbreak ‘Will Probably be Fixed Next Year’ says WHO Official

So far this year there have been 262 cases of polio detected in Pakistan, which is the highest number of cases in 14 years. Pakistan is one of only three countries in the world, including Afghanistan and Nigeria, where the virus remains endemic. Despite these numbers, a WHO official in Pakistan says the disease will “most probably be fixed in the first half of 2015.” Military campaigns around the country have not only made vaccination more difficult but have faced tribal militants who banned all vaccinations.

The Guardian—“Persistent public awareness campaigns have not fully quashed popular fears that the drops given to children – a solution of highly weakened polio virus – are part of a western conspiracy to make Muslims infertile.

The Pakistani Taliban have attacked and killed health workers who conduct door-to-door campaigns, forcing the government to mount massive security operations during major vaccination drives.”

This Week in Ebola

We’ve got a lot of news from the last two weeks, so today, let’s start stateside.

The CDC says you can stop worrying because it is very unlikely that Ebola will become airborne, so you can stop cancelling your African safaris. Ebola anxiety has left the U.S. buying up all the PPEs leaving little for workers in West Africa, while the Director of the Harvard School of Public Health Emergency Preparedness has said that U.S. quarantine policy could discourage volunteers from going to help the outbreak. However, recently, no one has been caught in quarantines entering New York and New Jersey airports. 35 American hospitals have been designated as Ebola centers and already the U.S. government is looking past Ebola for the next health disaster. Meanwhile, the first human trial of an experimental vaccine for the virus has produced promising results.

Overseas, the German airline Lufthansa adapted an A340-300 to transport Ebola patients. In Liberia, the President has banned election rallies and mass gatherings under the reasoning that they risk worsening the spread of the virus and Ebola moves out of the cities, it is ‘pingponging’ into rural areas. In Sierra Leone there are approximately 80-100 new cases of Ebola daily, they are running out of beds, and in protest of non-payment, burial workers are dumping bodies in public in the city of Kenema. One piece of good news coming out of this outbreak that has affected more than 16,000 people is that female genital mutilation is on the decline. Also, a new 15-minute test for Ebola is being tested in Guinea, which, if it works, will help medical staff identify and isolate Ebola patients sooner.

The UN warns that the longer the disease is allowed to spread unchecked in West Africa, the more likely it is that Ebola will appear in new places in the world but EcoHealth journal notes that closer study of zoonotic diseases could help prevent Ebola and other diseases from affecting humans. Don’t worry though, according to North Korea Ebola isn’t a zoonotic disease, it is a bioweapon created by the U.S.

Stories You May Have Missed

 

Image Credit: Free Internet Pictures

Pandora Report 11.16.14

Its getting pretty cold outside, right? So what better way to spend your Sunday than catching up on all the best stories of the week! This week we’ve got Wikipedia as a predictive took for the spread of disease, a catchy new name for Chikungunya, MERS CoV in Saudi Arabia, some stories you may have missed, and, of course, an Ebola update.

How Wikipedia Reading Habits Can Successfully Predict the Spread of Disease

In my absolute favorite story of the week, researchers have identified a link between the spread of disease and the corresponding page hits of those diseases on Wikipedia. No, the Internet isn’t giving people E-bola, but page views seem to have a predictive effect on infectious disease spread. During the three-year study, looking at readers’ habits, the researchers could predict the spread of flu in the U.S., Poland, Thailand, and Japan, and dengue in Brazil and Thailand at least 28 days before those countries’ health ministries.

The Washington Post—“Official government data—usually released with a one- or two-week lag time—lagged four weeks behind Wikipedia reading habits, according to Del Valle; people, she said, are probably reading about the illnesses they have before heading to the doctor.”

The ‘Vacation Virus’

As Chikungunya makes it way through the Americas, awareness of the disease becomes more important—including the creation of a catchy nickname! The vector, transmissibility, and symptoms are similar to Dengue and with Chikungunya being relatively new to the western hemisphere, a story like this one may be helpful in putting a human face on a growing problem.

The Atlantic—“It might be parochial to call Chikungunya a “vacation virus”; however, as Americans prepare to hit the Caribbean beaches in the coming winter months, awareness campaigns are ramping up. Last week, the travel section of the New York Times ran a feature on Chikungunya highlighting how tourism agencies and organizations are both downplaying the scope of the outbreak and advising simple measures to deal with the virus. (Avoid mosquitos.)”

MERS Cases on the Rise in Saudi Arabia

Since September 5, there have been 38 new cases of MERS-CoV in Saudi Arabia, bringing the total number of cases in Saudi Arabia to 798. The WHO said that due to the non-specific symptoms of MERS, it is critical that health care facilities consistently apply standard precautions with all patients regardless of their initial diagnosis. Furthermore, until more is understood about MERS, immunocompromised individuals should practice general hygiene measures, like hand washing, and avoid close contact with sick animals. Nearly one third of the new cases were reported by patients who had recently had close contact with camels.

Outbreak News Today—“The continued increase in cases prompted Anees Sindi, deputy commander of the Command and Control Center (CCC) to say, “MERS-CoV is active and we need to be on full alert.” In addition, the Saudi Arabia Ministry of Health launched a new public information campaign in Taif in response to the recent spike in new cases of MERS-CoV in the region. Medical professionals will be made available at public locations with the aim of educating citizens on the need to avoid unprotected contact with camels because of the risk of infection with MERS-CoV, underlining the crucial role of the community in preventing the spread of the disease in the Kingdom.”

This Week in Ebola

Ebola is on the rise again in Sierra Leone bringing the number of deaths to 5,147 and cases to 14,068. It appears that the virus is finding new pockets to inhabit including villages outside the Liberian capital and in Bamako, the capital of Mali (eclipsing earlier success in that country at containment.) Despite these new infections outside of Monrovia, Liberian President Ellen Johnson Sirleaf has ended the state of emergency in that country. Unsurprisingly, the epidemic has imposed a financial burden on the affected countries including losses in agricultural trade and the service industries. Elsewhere in Africa, Ugandan health officials have declared the country free of an Ebola-like Marburg virus. Stateside, a new report from the CDC outlines steps taken in Dallas to prevent further virus spread and a third Ebola patient headed to the bio containment unit at the Nebraska Medical Center for treatment. Finally, 80 U.S. Military personnel helping to fight Ebola in Liberia returned home this week, and though none are displaying symptoms, they will be monitored for 21 days at Joint Base Langley-Eustis in Virginia.

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Image Credit: Wikipedia